Prognosis
The prognosis of spermatic neuralgia is strongly dependent on whether a cause for the nerve damage to the genitofemoral nerve has been found. If this is an abscess, it can usually be relieved relatively easily by needle puncture and the symptoms usually disappear immediately and permanently. If a tumor is the cause of spermatic neuralgia, its removal usually effectively relieves the pain symptoms.
However, the long-term general prognosis is then of course highly dependent on the stage of the tumor and whether the tumor is benign or malignant and whether it has already formed metastases (spreading ulcers). If, on the other hand, no clear cause for the spermatic neuralgia can be identified, the formulation of a prognosis is even more difficult: Some patients try out different treatment methods and medications over years more or less unsuccessfully, others are permanently symptom-free after the first local anesthetic injections.